Nutriall Wellness Center LLC
NPI 1053033365 · Registered Dietitian · Bayside, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nutriall Wellness Center LLC is a Registered Dietitian organization in Bayside, NY (NPI 1053033365).
Provider details
- NPI number
- 1053033365
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Xiaofang Tan, Registered Dietitian(929) 777-4933
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Pediatric Nutrition Registered Dietitian133VN1004X
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Nutriall Wellness Center
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2023-05-09
- Certified
- 2023-05-09
Frequently asked questions
- What is Nutriall Wellness Center LLC's NPI number?
- Nutriall Wellness Center LLC's National Provider Identifier (NPI) is 1053033365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nutriall Wellness Center LLC?
- Nutriall Wellness Center LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nutriall Wellness Center LLC located?
- Nutriall Wellness Center LLC's practice location on file with NPPES is 3347 213th St, Bayside, NY 11361-1560.
- What is Nutriall Wellness Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Nutriall Wellness Center LLC is (929) 777-4933.
- Does Nutriall Wellness Center LLC accept Medicare?
- Nutriall Wellness Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nutriall Wellness Center LLC?
- The authorized official listed on Nutriall Wellness Center LLC's NPPES record is Xiaofang Tan, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nutriall Wellness Center LLC's NPI active?
- Yes — Nutriall Wellness Center LLC's NPI (1053033365) is active in the NPPES registry as of the last update on 2023-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.